Active NPI
Mind Care Professional Limited Liability Company
- Nurse Practitioner
- Woodbridge, VA
National Provider Identifier
1386437465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- Legal business name
- MIND CARE PROFESSIONAL LIMITED LIABILITY COMPANY
- Practice address
- 12751 Marblestone Dr Ste 230-1
Woodbridge, VA 22192-8335 - Phone
- (571) 402-4251
- NPI assigned
- May 22, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rajni Sharma
- Title
- Owner
- Phone
- (469) 630-7964
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | Primary |
Addresses
Primary practice location
12751 Marblestone Dr Ste 230-1
Woodbridge, VA 22192-8335
Mailing address
12751 Marblestone Dr Ste 230-1
Woodbridge, VA 22192-8335
Phone (571) 402-4251
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
12751 Marblestone Dr
Ste 2301
Woodbridge, VA 22192
Phone (571) 402-4251
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- Woodbridge, VA
- NPI 1376011346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747872000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1747872000000",
"number": "1386437465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12751 MARBLESTONE DR STE 230-1",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221928335",
"telephone_number": "571-402-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12751 MARBLESTONE DR STE 230-1",
"city": "WOODBRIDGE",
"state": "VA",
"postal_code": "221928335",
"telephone_number": "571-402-4251"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MIND CARE PROFESSIONAL LIMITED LIABILITY COMPANY",
"organizational_subpart": "NO",
"enumeration_date": "2025-05-22",
"last_updated": "2025-05-22",
"certification_date": "2025-05-22",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "RAJNI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "469-630-7964"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.